DR. Bruce David Herzog, O.D.

NPI #1366542961 in Capitola, California

Provider Information

NPI Number: 1366542961
Entity Type: Individual
Name: DR. Bruce David Herzog, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Sep 23, 2006
Last Updated: Feb 18, 2016

Practice Location

Address: 3555 CLARES ST STE H
City: Capitola
State: California
ZIP Code: 95010-2539
Phone: (831) 477-4900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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